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Healthcare-associated infections in North Carolina : healthcare consumer version

Healthcare-associated infections in North Carolina : healthcare consumer version

NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013
2013
N.C. Healthcare‐Associated Infections Prevention Program
N.C. Communicable Disease Branch
Healthcare‐Associated
Infections in North
Carolina
Quarterly Report – January 2013
Healthcare Consumer Version
N.C. Department of Health and Human Services
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013
i
Introduction
The U.S. Centers for Disease Control and Prevention (CDC) estimates that 5 percent of all hospital
admissions result in a healthcare‐associated infection, culminating in approximately 1.7 million
infections and 99,000 deaths each year1 as well as $28–33 billion in excess costs.2 In North
Carolina, approximately 33,000 individuals contract healthcare‐associated infections in acute care
hospitals each year, resulting in approximate direct costs to facilities ranging from $281 million to
$779 million dollars.3 These numbers likely underestimate the true burden of healthcare‐associated
infections because they include only a subset of acute care hospitals and healthcare‐associated
infections.
The prevention of healthcare‐associated infections is a public health priority in North Carolina and
is a collaborative effort among the healthcare and public health communities. This January 2013
Healthcare‐Associated Infections Quarterly Report is an important product of this collaboration and
represents the first public reporting of healthcare‐associated infections statewide, as required by
North Carolina General Statute 130A‐150 and North Carolina Administrative Code Rule 41A .0106.
Included in this report is information about infections occurring in North Carolina acute care
hospitals during January 1st –June 30th, 2012. Data included in this report are preliminary and
subject to change.
While this report only includes data from acute care hospitals, other facility types including
rehabilitation, long term acute care, and state psychiatric will be added to future reports. These
reports will be released on a quarterly basis, during the months of January, April, July, and October.
The next quarterly report will provide an annual summary of 2012 healthcare‐associated infections
in acute care hospitals.
This report focuses on three important types of healthcare‐associated infections that may occur
while patients are hospitalized: central line‐associated bloodstream infections, catheter‐associated
urinary tract infections, and surgical site infections (specifically those following abdominal
hysterectomies or colon surgeries). These three types of infections account for a large proportion of
illnesses and deaths attributed to healthcare, but they do not represent the full spectrum of
healthcare‐associated infections. Information about other types of healthcare‐associated infections
‐ including those caused by methicillin‐resistant Staphylococcus aureus (MRSA) and by Clostridium
difficile ‐ will be included in future reports.
This report was prepared by the North Carolina Healthcare‐Associated Infections Prevention Team,
which is located in the Communicable Disease Branch of the Epidemiology Section of the North
Carolina Division of Public Health. The NC Healthcare‐Associated Infections Prevention Program
works to eliminate preventable infections in health care settings by:
1 Klevens RM, Edwards JR, Richards CL, Jr., et al. Estimating health care‐associated infections and deaths in U.S. hospitals,
2002. Public Health Rep. Mar‐Apr 2007;122(2):160‐166. Available at http://www.cdc.gov/hai/burden.html.
2 Scott R. The Direct Medical Costs of Healthcare‐Associated Infections in U.S. Hospitals and the Benefits of Prevention.
Internal Report. Division of Healthcare Quality Promotion, National Center for Preparedness, Detection, and
Control of Infectious Diseases, Coordinating Center for Infectious Diseases, Centers for Disease Control and
Prevention; February 2009. Available at http://www.cdc.gov/hai/burden.html.
3 NC‐DHHS. Estimates for Cost of Healthcare‐Associated Infections (HAIs) in North Carolina Acute Care Hospitals: Report
from the Economic Impact Subgroup of the North Carolina Department of Public Health HAI Advisory Group;
2011.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013
ii
1. Conducting statewide surveillance for selected HAIs;
2. Providing useful, unbiased information to health care providers and consumers;
3. Promoting and coordinating prevention efforts; and
4. Responding to outbreaks in health care settings.
We hope that the information in this report will be useful to healthcare consumers. Data are
intended to provide readers with an understanding of the burden of healthcare‐associated
infections in N.C. as well as an opportunity to evaluate infection rates across the state. Prevention
tips are also provided so readers can take steps to minimize their risk of a healthcare‐associated
infection. A separate healthcare provider version with additional details is also available at
http://epi.publichealth.nc.gov/cd/diseases/hai. We welcome your feedback to improve the
usefulness of future reports (nchai@dhhs.nc.gov).
For more information on Healthcare‐Associated Infections and the N.C Healthcare‐Associated
Infection Prevention Team, please visit http://epi.publichealth.nc.gov/cd/diseases/hai.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013
iii
Acknowledgements
The North Carolina Healthcare‐Associated Infection Prevention Team would like to acknowledge
and thank hospital infection preventionists across the state who work tirelessly to protect patients
from infection. They provided the data used to create this report and worked with their hospital
colleagues to identify and reconcile any potential problems with the data. The recent successes in
fighting healthcare‐associated infections would not have been possible without their continuing
efforts, dedication, and collaboration.
The Healthcare‐Associated Infection Prevention Team would also like to recognize the
contributions of the Healthcare‐Associated Infections Advisory Group members listed in Appendix
A. In particular, the team is grateful to the Subgroup on Reporting and Surveillance for their
thoughtful feedback on the presentation and content of the Quarterly Reports.
Finally, the team would like to acknowledge our partners from the North Carolina Hospital
Association (NCHA), the North Carolina Statewide Program for Infection Control and Epidemiology
(NC SPICE) and the North Carolina Chapter of the Association for Professionals in Infection Control
and Epidemiology (APIC) who have been important leaders and strong supporters of surveillance
and prevention programs for healthcare‐associated infections in North Carolina.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013
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Table of Contents
Introduction ................................................................................................................................................................................ i
Acknowledgements .............................................................................................................................................................. iii
Definitions .................................................................................................................................................................................. v
Acronyms ................................................................................................................................................................................. vii
I. Surveillance for Healthcare‐Associated Infections in North Carolina ..................................................... 1
II. Overview of the Hospital‐Specific Summary Reports ..................................................................................... 2
Section Overview ............................................................................................................................................................... 2
Section 1 – General Hospital Information ............................................................................................................ 2
Section 2 – Central line‐associated bloodstream infections (CLABSI) .................................................... 3
Section 3 – Catheter‐associated urinary tract infections (CAUTI) ............................................................ 4
Section 4 – Surgical site infections (SSI) .............................................................................................................. 5
Section 5 – Commentary from Hospital ................................................................................................................ 6
III. Hospital‐Specific Summary Reports ................................................................................................................. 7
APPENDIX A. N.C. Healthcare‐Associated Infections Advisory Group
APPENDIX B. Similarly‐Sized Hospitals in North Carolina, 2011 National Healthcare Safety Network
Annual Facility Survey
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013
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Definitions
Term Definition
ASA Class
Anesthesiologist’s pre‐operative assessment of the patient’s physical
condition, using the American Society of Anesthesiologists’ (ASA)
Classification of Physical Status.
1. Normally healthy patient
2. Patient with mild systemic disease
3. Patient with severe systemic disease that is not incapacitating
4. Patient with an incapacitating systemic disease, constant threat to life
5. Patient not expected to survive for 24 hours with or without the
operation
Beds The number of staffed beds in a facility or patient care location. This may
be different from the number of licensed beds.
Catheter days A daily count of the number of patients with an indwelling urinary
catheter. For example, one patient with an indwelling catheter in place for
two days or two patients with indwelling catheters in place for one day
each would both result in two catheter days. This number is used when
presenting rates of catheter‐associated urinary tract infections.
Catheter‐associated
urinary tract infection
Urinary tract infection (UTI) that occurs in a patient who had an
indwelling urinary catheter in place within the 48‐hour period before the
onset of the UTI.
Central line A catheter (tube) that doctors place in a large vein in the neck, chest, or
groin to give medication or fluids or to collect blood for medical tests. Also
known as a central venous catheter.
Central line‐associated
bloodstream infection
A bloodstream infection (BSI) that occurs in a patient who had a central
line within the 48‐hour period before the onset of the BSI and is not
related to an infection at another site.
Central line days A daily count of the number of patients with a central line. For example,
one patient with a central line in place for two days or two patients with
central lines in place for one day each would both result in two central line
days. This number is used when presenting rates of central line‐associated
bloodstream infections.
Device days A daily count of the number of patients with a specific device (e.g., central
line, umbilical catheter, ventilator, or urinary catheter) in the patient care
location.
Healthcare‐associated
infections
Healthcare‐associated infections (HAI) are infections caused by a wide
variety of common and unusual bacteria, fungi, and viruses during the
course of receiving medical care.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013
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Term Definition
Infant An individual ≤ 1 year of age.
Intensive care unit A nursing care area that provides intensive observation, diagnosis, and
therapeutic procedures for adults and/or children who are critically ill.
Also referred to as critical care unit.
Medical affiliation Affiliation with a medical school. There are four categories.
Major – Hospital is an important part of the teaching program of a medical
school and the majority of medical students rotate through multiple
clinical services.
Graduate – Hospital used by the medical school for graduate training
programs only (i.e., residency and/or fellowships).
Limited – Hospital used in the medical school’s teaching program to a
limited extent.
No – Hospital not affiliated with a medical school.
Patient days A daily count of the number of patients in the patient care location during
a specified time period.
Rate Describes the speed with which disease or events occur.
Surgical site infection Infection that occurs after surgery, in the part of the body where the
surgery took place.
Urinary catheter A drainage tube that is inserted into the urinary bladder through the
urethra, is left in place, and is connected to a closed collection system.
Validity (data) The extent to which reported cases of a disease or event correspond
accurately to cases of a disease or event in the real world.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013
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Acronyms
APIC Association for Professionals in Infection Control and Epidemiology
ASA American Society of Anesthesiologists
CAUTI Catheter‐associated urinary tract infection
CDC Centers for Disease Control and Prevention
CMS Centers for Medicare and Medicaid Services
CLABSI Central line‐associated bloodstream infections
CDB Communicable Disease Branch
CI Confidence interval
DHHS Department of Health and Human Services
DPH Division of Public Health
HAI Healthcare‐associated Infections
ICU Intensive care unit
NCHA North Carolina Hospital Association
NC SPICE North Carolina Statewide Program for Infection Control and Epidemiology
NHSN National Healthcare Safety Network
NICU Neonatal critical care unit
SSI Surgical site infection
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013
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I. Surveillance for Healthcare‐Associated Infections in North Carolina
Healthcare‐associated infections are infections caused by a variety of germs while receiving medical
care. Hospitals report specific types of healthcare‐associated infections to the North Carolina
Division of Public Health via a Centers for Disease Control and Prevention (CDC) internet‐based
electronic database. These infections include central line‐associated bloodstream infections,
catheter‐associated urinary tract infections, and surgical site infections occurring after an
abdominal hysterectomy or colon surgery. These infections are only reported for patients in the
hospital and not for patients in outpatient settings such as clinics, outpatient surgical centers or
dialysis facilities.
By North Carolina law, hospital reporting requirements are based on the reporting requirements
established by the Centers for Medicare and Medicaid Services. The first healthcare‐associated
infection reporting requirement went into effect on January 1, 2012, when acute care hospitals
began reporting central line‐associated bloodstream infections, catheter‐associated urinary tract
infections, and surgical site infections. Additional hospital types – long‐term acute care hospitals
and rehabilitation hospitals – began reporting central line‐associated bloodstream infections and
catheter‐associated urinary tract infections in October 2012; this information will be included in
future quarterly reports. In January 2013, acute care hospitals will begin reporting laboratory
confirmed bloodstream infections caused by methicillin‐resistant Staphylococcus aureus (MRSA)
and infections caused by Clostridium difficile (C. diff). This information will also be included in
future quarterly reports.
To learn more about central line‐associated bloodstream infections, catheter‐associated urinary
tract infections, and surgical site infections, please visit the N.C. Healthcare‐Associated Infections –
Facts & Figures website at http://epi.publichealth.nc.gov/cd/hai/figures.html. In addition to
information about specific infections, there is a link to the October 2012 Quarterly Report, which
contains background information on healthcare‐associated infections surveillance in N.C. and
detailed information on statistics commonly used to describe and summarize healthcare‐associated
infections.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013
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II. Overview of the Hospital‐Specific Summary Reports
The following pages are the hospital‐specific summary reports for healthcare‐associated infections
that acute care hospitals reported from January to June, 2012. Before reviewing the hospital‐specific
summary reports, please read this section which contains helpful information and
explanations.
Each hospital has a one‐page summary that contains five sections: 1) general hospital information,
2) central line‐associated bloodstream infections, 3) catheter associated urinary tract infections, 4)
surgical site infections, and 5) commentary from the hospital. These sections are described in detail
below.
Before elaborating on each section, two clarifications about the data need to be made:
1. The data are preliminary. Although efforts were made by hospitals and the N.C. Healthcare‐
Associated Infections Prevention Program to ensure that the data were accurate and complete,
a formal validation of the data has not been performed. Data validation is a process by which
data from hospitals are carefully reviewed to ensure that they meet established criteria and
standards for reporting. If these criteria and standards are not met, over‐reporting or under‐reporting
can occur giving a distorted presentation of what is occurring in the hospital. Until
data validation is completed, data are preliminary and should be interpreted with caution.
Collaboration with partners is anticipated in the coming year to discuss data validation options.
2. The rates of infections are not included in some places. Approximately 25% of reporting
hospitals in N.C. are small hospitals with less than 100 beds. These hospitals are likely to have
low numbers of central line days, catheter days, and surgeries. Calculating rates with small
numbers in the denominator can be misleading. Therefore the N.C. Healthcare‐Associated
Infections Prevention Program chose to present only the actual number of infections for units,
hospitals, and/or surgeries that did not meet a minimum threshold value for the reporting
period; rates are not presented. The minimum threshold numbers for the reporting period are
based on CDC recommendations for reporting healthcare‐associated infection data.
 Central‐line associated bloodstream infections: 50 central line days
 Catheter‐associated urinary tract infections: 50 catheter days
 Surgical site infections: 20 surgeries
Section Overview
Tables and figures from hospital‐specific summary reports have been included in the following
sections to provide a pictorial representation of data. These tables and figures do not represent one
single hospital and are used as examples to highlight key points.
Section 1 – General Hospital Information
This section contains general information about the hospital and includes a map of where the
hospital (blue “H” icon) is located in N.C. Data in this section are from the National Healthcare
Safety Network (NHSN) 2011 Annual Hospital Survey. The surveys are completed once a year; the
2012 Annual Hospital Survey will be completed by hospitals in 2013.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013
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Section 2 – Central line‐associated bloodstream infections (CLABSI)
This section of the report includes a table, figure, and general information about central line‐associated
bloodstream infections. Please note that central line‐associated bloodstream infections
are only reported from adult, pediatric, and neonatal intensive care units in acute care hospitals.
Table 1 includes the number of central line‐associated bloodstream infections (“Infections”),
number of central line days (“Line Days”), and rate (“Rate”). A central line day is a daily count of the
number of patients with a central line. For example, if there are 12 patients who have a central line
on Day 1, then there were 12 central line days on Day 1. The central line days are summed over the
period of interest to calculate the total number of central line days in the hospital or unit. In the
example shown here, there were a total of 4,669 central line days from January to June 2012 in this
hospital.
The rate is the number of central line‐associated bloodstream infections divided by the number of
central line days multiplied by 1,000 to get “per 1,000 central line days.” In this example, the rate is
0.43 central line‐associated bloodstream infections per 1,000 central line days.
Figure 1 shows the hospital central line‐associated bloodstream infections rate along with the
central line‐associated bloodstream infections rates of similarly‐sized hospitals and all hospitals in
N.C. The categories for “Similarly‐sized Hospitals” are based on total hospital bed counts: less than
100 beds, 100‐199 beds, 200‐399 beds, and 400+ beds. Hospitals that serve as the primary location
for medical schools are included in a separate category (primary medical school affiliation). A list of
the hospitals in each category can be found in Appendix B.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013
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In addition to the rates, the 95% confidence intervals (CI) are also presented as the “Lower Limit”
and “Upper Limit” in the figure. The 95% confidence interval is a useful measure because it can be
used to assess if the difference between two rates is important statistically, or statistically
significant. If the 95% confidence intervals of two rates overlap, then the conclusion would be that
the difference in rates is not statistically significant. However, if the 95% confidence intervals of
two rates do not overlap, then the rates are said to be statistically significant.
In this example (Figure 1), the hospital rate is 0.43 central line‐associated bloodstream infections
per 1,000 central line days (95% CI: 0.05‐1.55). The rate among similarly‐sized hospitals is 1.08
central line‐associated bloodstream infections per 1,000 central line days (95% CI: 0.82‐1.33) and
the rate for all NC hospitals is 1.06 central line‐associated bloodstream infections per 1,000 central
line days (95% CI: 0.89‐1.22). The central line‐associated bloodstream infections rate in the
hospital appears to be lower than that of similarly‐sized hospitals and all hospitals in N.C.
The question is if this difference in central line‐associated bloodstream infections rates is a true
difference. Looking at the 95% confidence interval of the hospital rate, it overlaps with the 95%
confidence interval of the rate for similarly‐sized hospitals and the rate for all NC hospitals.
Therefore, the conclusion would be that the observed difference in central line‐associated
bloodstream infections rate in the hospital is not significantly different from the central line‐associated
bloodstream infections rates of similarly‐sized hospitals or all hospitals in NC.
The section on central line‐associated bloodstream infections concludes with general information
about what a central line‐associated bloodstream infection is and what patients can do to reduce
their risk of infection.
Section 3 – Catheter‐associated urinary tract infections (CAUTI)
Like the section on central line‐associated blood stream infections, this section includes a table,
figure, and general information about catheter‐associated urinary tract infections. Catheter‐associated
urinary tract infections are only reported from adult and pediatric intensive care units in
acute care hospitals.
The calculations of catheter days and rates as well as interpretation of the 95% confidence intervals
are the same as those presented in “Section 2 – Central line‐associated bloodstream infections
(CLABSI)”; please refer to that section for more information.
In the example above (Table 2), the hospital rate of catheter‐associated urinary tract infections was
0 per 1,000 catheter‐days. The accompanying Figure 2 below displays that the 95% confidence
interval is not presented when the rate is 0.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013
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Section 4 – Surgical site infections (SSI)
This section includes a table and two figures about surgical site infections. Hospitals are required to
report surgical site infections that occur among adults 18 years or older following inpatient
abdominal hysterectomies and colon surgeries. Only surgical site infections that occur at the
primary incision site within 30 days of surgery are included in this report. Infections are not
included if they occur later or if they involve only the skin or subcutaneous tissue (the layer of
tissue directly under the skin). Finally, if patient age or the American Society of Anesthesiologists
(ASA) score is missing for a surgery, it is not included in the final count of surgeries.
The calculation of rates as well as interpretation of the 95% confidence intervals are the same as
those presented in “Section 2 – Central line‐associated bloodstream infections (CLABSI)”; please
refer to that section for more information.
Recall that if the number of procedures (or central‐line days for central‐line bloodstream infections
or catheter days for catheter‐associated urinary tract infections) at a hospital did not meet a
minimum threshold number, the number of infections and surgeries would be presented but not
the rate. For surgical site infections, the minimum threshold is 20 surgeries for a reporting period.
In the example above (Table 3), there were less than 20 abdominal hysterectomies performed.
Therefore, the surgical site infections rate for abdominal hysterectomy was not included in the
table.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013
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In the accompanying Figure 3, the hospital rate and 95% confidence interval were not presented.
Section 5 – Commentary from Hospital
This section is an opportunity for hospitals to comment on healthcare‐associated infections and
infection control activities in their hospital. There is a 690 character limit (including spaces)
therefore hospitals may have chosen to provide a link to their hospital website to provide lengthier
comments.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013
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III. Hospital‐Specific Summary Reports
Hospital Type: Acute Care Hospital
Medical Affiliation: Limited
Profit Status: Not for Profit
Admissions in 2011: 4,691
Patient Days in 2011: 19,027
Number of Beds: 110
Number of ICU Beds: 10
Infection Preventionists: 1
Total for Reporting ICUs 1 405 2.47
Infections Line Days Rate
Total for Reporting ICUs 0 687 0
Infections Catheter Days Rate
ARHS-Watauga Medical Center, Boone, Watauga County
Abdominal hysterectomy 0 5 .
Colon surgery 0 15 .
Type of Surgery Infections* Surgeries Rate
No comments provided.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
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Hospital Type: Acute Care Hospital
Medical Affiliation: No
Profit Status: Not for Profit
Admissions in 2011: 2
Patient Days in 2011: 46,125
Number of Beds: 238
Number of ICU Beds: 32
Infection Preventionists: 1
Total for Reporting ICUs 2 1,268 1.58
Infections Line Days Rate
Total for Reporting ICUs 6 1,512 3.97
Infections Catheter Days Rate
Alamance Regional Medical Center, Burlington, Alamance County
Abdominal hysterectomy 0 98 0
Colon surgery 0 60 0
Type of Surgery Infections* Surgeries Rate
No comments provided.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
9
Hospital Type: Acute Care Hospital
Medical Affiliation: No
Profit Status: Not for Profit
Admissions in 2011: 5,780
Patient Days in 2011: 22,562
Number of Beds: 134
Number of ICU Beds: 9
Infection Preventionists: 1
Total for Reporting ICUs 0 384 0
Infections Line Days Rate
Total for Reporting ICUs 1 659 1.52
Infections Catheter Days Rate
Albemarle Health Authority, Elizabeth City, Pasquotank County
Abdominal hysterectomy 1 36 2.78
Colon surgery 1 40 2.5
Type of Surgery Infections* Surgeries Rate
No comments provided.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
10
Hospital Type: Acute Care Hospital
Medical Affiliation: No
Profit Status: Not for Profit
Admissions in 2011: 3,063
Patient Days in 2011: 13,704
Number of Beds: 78
Number of ICU Beds: 12
Infection Preventionists: 1
Total for Reporting ICUs 0 197 0
Infections Line Days Rate
Total for Reporting ICUs 1 579 1.73
Infections Catheter Days Rate
Annie Penn Hospital, Reidsville, Rockingham County
Abdominal hysterectomy 0 7 .
Colon surgery 1 16 .
Type of Surgery Infections* Surgeries Rate
No comments provided.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
11
Hospital Type: Acute Care Hospital
Medical Affiliation: No
Profit Status: Not for Profit
Admissions in 2011: 721
Patient Days in 2011: 2,186
Number of Beds: 30
Number of ICU Beds: 0
Infection Preventionists: 1
Anson Community Hospital, Wadesboro, Anson County
Abdominal hysterectomy 0 0 .
Colon surgery 0 1 .
Type of Surgery Infections* Surgeries Rate
No comments provided.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
This hospital does not have any reporting intensive care units (ICUs).
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
This hospital does not have any reporting intensive care units (ICUs).
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
12
Hospital Type: Acute Care Hospital
Medical Affiliation: No
Profit Status: Not for Profit
Admissions in 2011: 7,306
Patient Days in 2011: 27,411
Number of Beds: 101
Number of ICU Beds: 6
Infection Preventionists: 1
Total for Reporting ICUs 0 321 0
Infections Line Days Rate
Total for Reporting ICUs 0 666 0
Infections Catheter Days Rate
Betsy Johnson Regional, Dunn, Harnett County
Abdominal hysterectomy 0 29 0
Colon surgery 0 13 .
Type of Surgery Infections* Surgeries Rate
No comments provided.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
13
Hospital Type: Acute Care Hospital
Medical Affiliation: Graduate
Profit Status: Not for Profit
Admissions in 2011: 2,057
Patient Days in 2011: 8,501
Number of Beds: 131
Number of ICU Beds: 10
Infection Preventionists: 1
Total for Reporting ICUs 0 127 0
Infections Line Days Rate
Total for Reporting ICUs 0 409 0
Infections Catheter Days Rate
Blue Ridge Healthcare Hospitals - Valdese Campus, Valdese, Burke County
Abdominal hysterectomy 0 0 .
Colon surgery 0 33 0
Type of Surgery Infections* Surgeries Rate
The prevention and reduction of healthcare associated infections is a top priority at Blue Ridge Healthcare Hospitals Valdese. To accomplish this, infection prevention strategies
are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A
comprehensive program is provided that encompasses patient care and patient safety.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
14
Hospital Type: Acute Care Hospital
Medical Affiliation: Graduate
Profit Status: Not for Profit
Admissions in 2011: 5,931
Patient Days in 2011: 23,517
Number of Beds: 184
Number of ICU Beds: 10
Infection Preventionists: 1
Total for Reporting ICUs 0 197 0
Infections Line Days Rate
Total for Reporting ICUs 0 676 0
Infections Catheter Days Rate
Blue Ridge Healthcare Hospitals, Inc. - Morganton Campus, Morganton, Burke County
Abdominal hysterectomy 0 10 .
Colon surgery 0 20 0
Type of Surgery Infections* Surgeries Rate
The prevention and reduction of healthcare associated infections is a top priority at Blue Ridge Healthcare Hospitals Morganton. To accomplish this, infection prevention
strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A
comprehensive program is provided that encompasses patient care and patient safety.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
15
Hospital Type: Acute Care Hospital
Medical Affiliation: No
Profit Status: Not for Profit
Admissions in 2011: 2,183
Patient Days in 2011: 6,661
Number of Beds: 46
Number of ICU Beds: 8
Infection Preventionists: 1
Total for Reporting ICUs 0 61 0
Infections Line Days Rate
Total for Reporting ICUs 1 201 4.98
Infections Catheter Days Rate
Blue Ridge Regional Hospital, Spruce Pine, Mitchell County
Abdominal hysterectomy 0 2 .
Colon surgery 0 3 .
Type of Surgery Infections* Surgeries Rate
No comments provided.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
16
Hospital Type: Acute Care Hospital
Medical Affiliation: No
Profit Status: Not for Profit
Admissions in 2011: 3,640
Patient Days in 2011: 11,920
Number of Beds: 60
Number of ICU Beds: 5
Infection Preventionists: 1
Total for Reporting ICUs 0 167 0
Infections Line Days Rate
Total for Reporting ICUs 0 419 0
Infections Catheter Days Rate
Brunswick Community Hospital, Supply, Brunswick County
Abdominal hysterectomy 0 11 .
Colon surgery 2 33 6.06
Type of Surgery Infections* Surgeries Rate
No comments provided.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
17
Hospital Type: Acute Care Hospital
Medical Affiliation: No
Profit Status: Not for Profit
Admissions in 2011: 4,060
Patient Days in 2011: 18,281
Number of Beds: 110
Number of ICU Beds: 10
Infection Preventionists: 1
Total for Reporting ICUs 0 830 0
Infections Line Days Rate
Total for Reporting ICUs 1 1,107 0.9
Infections Catheter Days Rate
Caldwell Memorial Hospital, Lenoir, Caldwell County
Abdominal hysterectomy 0 1 .
Colon surgery 0 10 .
Type of Surgery Infections* Surgeries Rate
No comments provided.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
18
Hospital Type: Acute Care Hospital
Medical Affiliation: No
Profit Status: Not for Profit
Admissions in 2011: 29,287
Patient Days in 2011: 155,939
Number of Beds: 535
Number of ICU Beds: 90
Infection Preventionists: 4
Total for Reporting ICUs 4 4,613 0.87
Infections Line Days Rate
Total for Reporting ICUs 8 5,069 1.58
Infections Catheter Days Rate
Cape Fear Valley Health System, Fayetteville, Cumberland County
Abdominal hysterectomy 1 123 0.81
Colon surgery 1 140 0.71
Type of Surgery Infections* Surgeries Rate
No comments provided.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
19
Hospital Type: Acute Care Hospital
Medical Affiliation: No
Profit Status: Not for Profit
Admissions in 2011: 15,504
Patient Days in 2011: 66,443
Number of Beds: 350
Number of ICU Beds: 33
Infection Preventionists: 3
Total for Reporting ICUs 1 1,364 0.73
Infections Line Days Rate
Total for Reporting ICUs 9 1,947 4.62
Infections Catheter Days Rate
CarolinaEast Medical Center, New Bern, Craven County
Abdominal hysterectomy 1 59 1.69
Colon surgery 1 58 1.72
Type of Surgery Infections* Surgeries Rate
The overall healthcare associated infection rates for CarolinaEast are very low. The data for catheter associated urinary tract infections for this time period is not reflective
of the overall Infection Prevention practices for our organization.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
20
Hospital Type: Acute Care Hospital
Medical Affiliation: Major
Profit Status: Not for Profit
Admissions in 2011: 52,282
Patient Days in 2011: 271,498
Number of Beds: 880
Number of ICU Beds: 290
Infection Preventionists: 5
Total for Reporting ICUs 17 14,286 1.19
Infections Line Days Rate
Total for Reporting ICUs 52 13,613 3.82
Infections Catheter Days Rate
Carolinas Medical Center, Charlotte, Mecklenburg County
Abdominal hysterectomy 1 378 0.26
Colon surgery 5 240 2.08
Type of Surgery Infections* Surgeries Rate
The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies
are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A
comprehensive program is provided that encompasses patient care and patient safety.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
21
Hospital Type: Acute Care Hospital
Medical Affiliation: No
Profit Status: Not for Profit
Admissions in 2011: 4,105
Patient Days in 2011: 17,248
Number of Beds: 101
Number of ICU Beds: 10
Infection Preventionists: 1
Total for Reporting ICUs 1 299 3.34
Infections Line Days Rate
Total for Reporting ICUs 0 778 0
Infections Catheter Days Rate
Carolinas Medical Center - Lincoln, Lincolnton, Lincoln County
Abdominal hysterectomy 0 23 0
Colon surgery 1 6 .
Type of Surgery Infections* Surgeries Rate
The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies
are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A
comprehensive program is provided that encompasses patient care and patient safety.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
22
Hospital Type: Acute Care Hospital
Medical Affiliation: Limited
Profit Status: Not for Profit
Admissions in 2011: 9,264
Patient Days in 2011: 40,462
Number of Beds: 170
Number of ICU Beds: 30
Infection Preventionists: 1
Total for Reporting ICUs 3 1,411 2.13
Infections Line Days Rate
Total for Reporting ICUs 3 1,881 1.59
Infections Catheter Days Rate
Carolinas Medical Center- Mercy, Charlotte, Mecklenburg County
Abdominal hysterectomy 0 31 0
Colon surgery 2 57 3.51
Type of Surgery Infections* Surgeries Rate
The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies
are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A
comprehensive program is provided that encompasses patient care and patient safety.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
23
Hospital Type: Acute Care Hospital
Medical Affiliation: No
Profit Status: Not for Profit
Admissions in 2011: 24,746
Patient Days in 2011: 106,692
Number of Beds: 435
Number of ICU Beds: 54
Infection Preventionists: 3
Total for Reporting ICUs 2 2,437 0.82
Infections Line Days Rate
Total for Reporting ICUs 6 2,894 2.07
Infections Catheter Days Rate
Carolinas Medical Center - Northeast, Concord, Cabarrus County
Abdominal hysterectomy 1 176 0.57
Colon surgery 0 116 0
Type of Surgery Infections* Surgeries Rate
The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies
are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A
comprehensive program is provided that encompasses patient care and patient safety.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
24
Hospital Type: Acute Care Hospital
Medical Affiliation: Limited
Profit Status: Not for Profit
Admissions in 2011: 10,863
Patient Days in 2011: 39,353
Number of Beds: 109
Number of ICU Beds: 8
Infection Preventionists: 1
Total for Reporting ICUs 1 811 1.23
Infections Line Days Rate
Total for Reporting ICUs 2 1,214 1.65
Infections Catheter Days Rate
Carolinas Medical Center- Pineville, Charlotte, Mecklenburg County
Abdominal hysterectomy 0 139 0
Colon surgery 3 58 5.17
Type of Surgery Infections* Surgeries Rate
The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies
are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A
comprehensive program is provided that encompasses patient care and patient safety.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
25
Hospital Type: Acute Care Hospital
Medical Affiliation: Limited
Profit Status: Not for Profit
Admissions in 2011: 9,602
Patient Days in 2011: 40,252
Number of Beds: 165
Number of ICU Beds: 14
Infection Preventionists: 2
Total for Reporting ICUs 1 673 1.49
Infections Line Days Rate
Total for Reporting ICUs 0 1,165 0
Infections Catheter Days Rate
Carolinas Medical Center - Union, Monroe, Union County
Abdominal hysterectomy 1 39 2.56
Colon surgery 0 29 0
Type of Surgery Infections* Surgeries Rate
The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies
are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A
comprehensive program is provided that encompasses patient care and patient safety.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
26
Hospital Type: Acute Care Hospital
Medical Affiliation: Limited
Profit Status: Not for Profit
Admissions in 2011: 7,399
Patient Days in 2011: 23,883
Number of Beds: 130
Number of ICU Beds: 8
Infection Preventionists: 1
Total for Reporting ICUs 0 580 0
Infections Line Days Rate
Total for Reporting ICUs 4 756 5.29
Infections Catheter Days Rate
Carolinas Medical Center- University, Charlotte, Mecklenburg County
Abdominal hysterectomy 1 47 2.13
Colon surgery 0 33 0
Type of Surgery Infections* Surgeries Rate
The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies
are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A
comprehensive program is provided that encompasses patient care and patient safety.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
27
Hospital Type: Acute Care Hospital
Medical Affiliation: No
Profit Status: Not for Profit
Admissions in 2011: 6,980
Patient Days in 2011: 24,561
Number of Beds: 135
Number of ICU Beds: 8
Infection Preventionists: 2
Total for Reporting ICUs 1 225 4.44
Infections Line Days Rate
Total for Reporting ICUs 1 601 1.66
Infections Catheter Days Rate
Carteret General Hospital, Morehead City, Carteret County
Abdominal hysterectomy 0 18 .
Colon surgery 1 36 2.78
Type of Surgery Infections* Surgeries Rate
No comments provided.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
28
Hospital Type: Acute Care Hospital
Medical Affiliation: No
Profit Status: Not for Profit
Admissions in 2011: 11,668
Patient Days in 2011: 48,263
Number of Beds: 200
Number of ICU Beds: 28
Infection Preventionists: 2
Total for Reporting ICUs 2 1,234 1.62
Infections Line Days Rate
Total for Reporting ICUs 2 1,412 1.42
Infections Catheter Days Rate
Catawba Valley Medical Center, Hickory, Catawba County
Abdominal hysterectomy 0 42 0
Colon surgery 2 53 3.77
Type of Surgery Infections* Surgeries Rate
No comments provided.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
29
Hospital Type: Acute Care Hospital
Medical Affiliation: No
Profit Status: For Profit
Admissions in 2011: 465
Patient Days in 2011: 1,654
Number of Beds: 112
Number of ICU Beds: 8
Infection Preventionists: 1
Total for Reporting ICUs 0 484 0
Infections Line Days Rate
Total for Reporting ICUs 0 557 0
Infections Catheter Days Rate
Central Carolina Hospital, Sanford, Lee County
Abdominal hysterectomy 0 24 0
Colon surgery 0 33 0
Type of Surgery Infections* Surgeries Rate
No comments provided.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
30
Hospital Type: Acute Care Hospital
Medical Affiliation: No
Profit Status: Not for Profit
Admissions in 2011: 9,772
Patient Days in 2011: 35,345
Number of Beds: 241
Number of ICU Beds: 18
Infection Preventionists: 1
Total for Reporting ICUs 0 1,064 0
Infections Line Days Rate
Total for Reporting ICUs 2 1,863 1.07
Infections Catheter Days Rate
Cleveland Regional Medical Center, Shelby, Cleveland County
Abdominal hysterectomy 1 37 2.7
Colon surgery 0 40 0
Type of Surgery Infections* Surgeries Rate
The prevention and reduction of healthcare associated infections is a top priority at Cleveland County Healthcare System hospitals. To accomplish this, infection prevention
strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A
comprehensive program is provided that encompasses patient care and patient safety.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
31
Hospital Type: Acute Care Hospital
Medical Affiliation: No
Profit Status: Not for Profit
Admissions in 2011: 5,759
Patient Days in 2011: 23,894
Number of Beds: 107
Number of ICU Beds: 10
Infection Preventionists: 1
Total for Reporting ICUs 0 225 0
Infections Line Days Rate
Total for Reporting ICUs 0 470 0
Infections Catheter Days Rate
Columbus Regional Healthcare System, Whiteville, Columbus County
Abdominal hysterectomy 1 38 2.63
Colon surgery 0 28 0
Type of Surgery Infections* Surgeries Rate
The prevention and reduction of healthcare associated infections is a top priority at Columbus Regional Healthcare System. To accomplish this, infection prevention strategies are
continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive
program is provided that encompasses patient care and patient safety.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 9

NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013
2013
N.C. Healthcare‐Associated Infections Prevention Program
N.C. Communicable Disease Branch
Healthcare‐Associated
Infections in North
Carolina
Quarterly Report – January 2013
Healthcare Consumer Version
N.C. Department of Health and Human Services
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013
i
Introduction
The U.S. Centers for Disease Control and Prevention (CDC) estimates that 5 percent of all hospital
admissions result in a healthcare‐associated infection, culminating in approximately 1.7 million
infections and 99,000 deaths each year1 as well as $28–33 billion in excess costs.2 In North
Carolina, approximately 33,000 individuals contract healthcare‐associated infections in acute care
hospitals each year, resulting in approximate direct costs to facilities ranging from $281 million to
$779 million dollars.3 These numbers likely underestimate the true burden of healthcare‐associated
infections because they include only a subset of acute care hospitals and healthcare‐associated
infections.
The prevention of healthcare‐associated infections is a public health priority in North Carolina and
is a collaborative effort among the healthcare and public health communities. This January 2013
Healthcare‐Associated Infections Quarterly Report is an important product of this collaboration and
represents the first public reporting of healthcare‐associated infections statewide, as required by
North Carolina General Statute 130A‐150 and North Carolina Administrative Code Rule 41A .0106.
Included in this report is information about infections occurring in North Carolina acute care
hospitals during January 1st –June 30th, 2012. Data included in this report are preliminary and
subject to change.
While this report only includes data from acute care hospitals, other facility types including
rehabilitation, long term acute care, and state psychiatric will be added to future reports. These
reports will be released on a quarterly basis, during the months of January, April, July, and October.
The next quarterly report will provide an annual summary of 2012 healthcare‐associated infections
in acute care hospitals.
This report focuses on three important types of healthcare‐associated infections that may occur
while patients are hospitalized: central line‐associated bloodstream infections, catheter‐associated
urinary tract infections, and surgical site infections (specifically those following abdominal
hysterectomies or colon surgeries). These three types of infections account for a large proportion of
illnesses and deaths attributed to healthcare, but they do not represent the full spectrum of
healthcare‐associated infections. Information about other types of healthcare‐associated infections
‐ including those caused by methicillin‐resistant Staphylococcus aureus (MRSA) and by Clostridium
difficile ‐ will be included in future reports.
This report was prepared by the North Carolina Healthcare‐Associated Infections Prevention Team,
which is located in the Communicable Disease Branch of the Epidemiology Section of the North
Carolina Division of Public Health. The NC Healthcare‐Associated Infections Prevention Program
works to eliminate preventable infections in health care settings by:
1 Klevens RM, Edwards JR, Richards CL, Jr., et al. Estimating health care‐associated infections and deaths in U.S. hospitals,
2002. Public Health Rep. Mar‐Apr 2007;122(2):160‐166. Available at http://www.cdc.gov/hai/burden.html.
2 Scott R. The Direct Medical Costs of Healthcare‐Associated Infections in U.S. Hospitals and the Benefits of Prevention.
Internal Report. Division of Healthcare Quality Promotion, National Center for Preparedness, Detection, and
Control of Infectious Diseases, Coordinating Center for Infectious Diseases, Centers for Disease Control and
Prevention; February 2009. Available at http://www.cdc.gov/hai/burden.html.
3 NC‐DHHS. Estimates for Cost of Healthcare‐Associated Infections (HAIs) in North Carolina Acute Care Hospitals: Report
from the Economic Impact Subgroup of the North Carolina Department of Public Health HAI Advisory Group;
2011.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013
ii
1. Conducting statewide surveillance for selected HAIs;
2. Providing useful, unbiased information to health care providers and consumers;
3. Promoting and coordinating prevention efforts; and
4. Responding to outbreaks in health care settings.
We hope that the information in this report will be useful to healthcare consumers. Data are
intended to provide readers with an understanding of the burden of healthcare‐associated
infections in N.C. as well as an opportunity to evaluate infection rates across the state. Prevention
tips are also provided so readers can take steps to minimize their risk of a healthcare‐associated
infection. A separate healthcare provider version with additional details is also available at
http://epi.publichealth.nc.gov/cd/diseases/hai. We welcome your feedback to improve the
usefulness of future reports (nchai@dhhs.nc.gov).
For more information on Healthcare‐Associated Infections and the N.C Healthcare‐Associated
Infection Prevention Team, please visit http://epi.publichealth.nc.gov/cd/diseases/hai.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013
iii
Acknowledgements
The North Carolina Healthcare‐Associated Infection Prevention Team would like to acknowledge
and thank hospital infection preventionists across the state who work tirelessly to protect patients
from infection. They provided the data used to create this report and worked with their hospital
colleagues to identify and reconcile any potential problems with the data. The recent successes in
fighting healthcare‐associated infections would not have been possible without their continuing
efforts, dedication, and collaboration.
The Healthcare‐Associated Infection Prevention Team would also like to recognize the
contributions of the Healthcare‐Associated Infections Advisory Group members listed in Appendix
A. In particular, the team is grateful to the Subgroup on Reporting and Surveillance for their
thoughtful feedback on the presentation and content of the Quarterly Reports.
Finally, the team would like to acknowledge our partners from the North Carolina Hospital
Association (NCHA), the North Carolina Statewide Program for Infection Control and Epidemiology
(NC SPICE) and the North Carolina Chapter of the Association for Professionals in Infection Control
and Epidemiology (APIC) who have been important leaders and strong supporters of surveillance
and prevention programs for healthcare‐associated infections in North Carolina.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013
iv
Table of Contents
Introduction ................................................................................................................................................................................ i
Acknowledgements .............................................................................................................................................................. iii
Definitions .................................................................................................................................................................................. v
Acronyms ................................................................................................................................................................................. vii
I. Surveillance for Healthcare‐Associated Infections in North Carolina ..................................................... 1
II. Overview of the Hospital‐Specific Summary Reports ..................................................................................... 2
Section Overview ............................................................................................................................................................... 2
Section 1 – General Hospital Information ............................................................................................................ 2
Section 2 – Central line‐associated bloodstream infections (CLABSI) .................................................... 3
Section 3 – Catheter‐associated urinary tract infections (CAUTI) ............................................................ 4
Section 4 – Surgical site infections (SSI) .............................................................................................................. 5
Section 5 – Commentary from Hospital ................................................................................................................ 6
III. Hospital‐Specific Summary Reports ................................................................................................................. 7
APPENDIX A. N.C. Healthcare‐Associated Infections Advisory Group
APPENDIX B. Similarly‐Sized Hospitals in North Carolina, 2011 National Healthcare Safety Network
Annual Facility Survey
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013
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Definitions
Term Definition
ASA Class
Anesthesiologist’s pre‐operative assessment of the patient’s physical
condition, using the American Society of Anesthesiologists’ (ASA)
Classification of Physical Status.
1. Normally healthy patient
2. Patient with mild systemic disease
3. Patient with severe systemic disease that is not incapacitating
4. Patient with an incapacitating systemic disease, constant threat to life
5. Patient not expected to survive for 24 hours with or without the
operation
Beds The number of staffed beds in a facility or patient care location. This may
be different from the number of licensed beds.
Catheter days A daily count of the number of patients with an indwelling urinary
catheter. For example, one patient with an indwelling catheter in place for
two days or two patients with indwelling catheters in place for one day
each would both result in two catheter days. This number is used when
presenting rates of catheter‐associated urinary tract infections.
Catheter‐associated
urinary tract infection
Urinary tract infection (UTI) that occurs in a patient who had an
indwelling urinary catheter in place within the 48‐hour period before the
onset of the UTI.
Central line A catheter (tube) that doctors place in a large vein in the neck, chest, or
groin to give medication or fluids or to collect blood for medical tests. Also
known as a central venous catheter.
Central line‐associated
bloodstream infection
A bloodstream infection (BSI) that occurs in a patient who had a central
line within the 48‐hour period before the onset of the BSI and is not
related to an infection at another site.
Central line days A daily count of the number of patients with a central line. For example,
one patient with a central line in place for two days or two patients with
central lines in place for one day each would both result in two central line
days. This number is used when presenting rates of central line‐associated
bloodstream infections.
Device days A daily count of the number of patients with a specific device (e.g., central
line, umbilical catheter, ventilator, or urinary catheter) in the patient care
location.
Healthcare‐associated
infections
Healthcare‐associated infections (HAI) are infections caused by a wide
variety of common and unusual bacteria, fungi, and viruses during the
course of receiving medical care.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013
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Term Definition
Infant An individual ≤ 1 year of age.
Intensive care unit A nursing care area that provides intensive observation, diagnosis, and
therapeutic procedures for adults and/or children who are critically ill.
Also referred to as critical care unit.
Medical affiliation Affiliation with a medical school. There are four categories.
Major – Hospital is an important part of the teaching program of a medical
school and the majority of medical students rotate through multiple
clinical services.
Graduate – Hospital used by the medical school for graduate training
programs only (i.e., residency and/or fellowships).
Limited – Hospital used in the medical school’s teaching program to a
limited extent.
No – Hospital not affiliated with a medical school.
Patient days A daily count of the number of patients in the patient care location during
a specified time period.
Rate Describes the speed with which disease or events occur.
Surgical site infection Infection that occurs after surgery, in the part of the body where the
surgery took place.
Urinary catheter A drainage tube that is inserted into the urinary bladder through the
urethra, is left in place, and is connected to a closed collection system.
Validity (data) The extent to which reported cases of a disease or event correspond
accurately to cases of a disease or event in the real world.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013
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Acronyms
APIC Association for Professionals in Infection Control and Epidemiology
ASA American Society of Anesthesiologists
CAUTI Catheter‐associated urinary tract infection
CDC Centers for Disease Control and Prevention
CMS Centers for Medicare and Medicaid Services
CLABSI Central line‐associated bloodstream infections
CDB Communicable Disease Branch
CI Confidence interval
DHHS Department of Health and Human Services
DPH Division of Public Health
HAI Healthcare‐associated Infections
ICU Intensive care unit
NCHA North Carolina Hospital Association
NC SPICE North Carolina Statewide Program for Infection Control and Epidemiology
NHSN National Healthcare Safety Network
NICU Neonatal critical care unit
SSI Surgical site infection
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013
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I. Surveillance for Healthcare‐Associated Infections in North Carolina
Healthcare‐associated infections are infections caused by a variety of germs while receiving medical
care. Hospitals report specific types of healthcare‐associated infections to the North Carolina
Division of Public Health via a Centers for Disease Control and Prevention (CDC) internet‐based
electronic database. These infections include central line‐associated bloodstream infections,
catheter‐associated urinary tract infections, and surgical site infections occurring after an
abdominal hysterectomy or colon surgery. These infections are only reported for patients in the
hospital and not for patients in outpatient settings such as clinics, outpatient surgical centers or
dialysis facilities.
By North Carolina law, hospital reporting requirements are based on the reporting requirements
established by the Centers for Medicare and Medicaid Services. The first healthcare‐associated
infection reporting requirement went into effect on January 1, 2012, when acute care hospitals
began reporting central line‐associated bloodstream infections, catheter‐associated urinary tract
infections, and surgical site infections. Additional hospital types – long‐term acute care hospitals
and rehabilitation hospitals – began reporting central line‐associated bloodstream infections and
catheter‐associated urinary tract infections in October 2012; this information will be included in
future quarterly reports. In January 2013, acute care hospitals will begin reporting laboratory
confirmed bloodstream infections caused by methicillin‐resistant Staphylococcus aureus (MRSA)
and infections caused by Clostridium difficile (C. diff). This information will also be included in
future quarterly reports.
To learn more about central line‐associated bloodstream infections, catheter‐associated urinary
tract infections, and surgical site infections, please visit the N.C. Healthcare‐Associated Infections –
Facts & Figures website at http://epi.publichealth.nc.gov/cd/hai/figures.html. In addition to
information about specific infections, there is a link to the October 2012 Quarterly Report, which
contains background information on healthcare‐associated infections surveillance in N.C. and
detailed information on statistics commonly used to describe and summarize healthcare‐associated
infections.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013
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II. Overview of the Hospital‐Specific Summary Reports
The following pages are the hospital‐specific summary reports for healthcare‐associated infections
that acute care hospitals reported from January to June, 2012. Before reviewing the hospital‐specific
summary reports, please read this section which contains helpful information and
explanations.
Each hospital has a one‐page summary that contains five sections: 1) general hospital information,
2) central line‐associated bloodstream infections, 3) catheter associated urinary tract infections, 4)
surgical site infections, and 5) commentary from the hospital. These sections are described in detail
below.
Before elaborating on each section, two clarifications about the data need to be made:
1. The data are preliminary. Although efforts were made by hospitals and the N.C. Healthcare‐
Associated Infections Prevention Program to ensure that the data were accurate and complete,
a formal validation of the data has not been performed. Data validation is a process by which
data from hospitals are carefully reviewed to ensure that they meet established criteria and
standards for reporting. If these criteria and standards are not met, over‐reporting or under‐reporting
can occur giving a distorted presentation of what is occurring in the hospital. Until
data validation is completed, data are preliminary and should be interpreted with caution.
Collaboration with partners is anticipated in the coming year to discuss data validation options.
2. The rates of infections are not included in some places. Approximately 25% of reporting
hospitals in N.C. are small hospitals with less than 100 beds. These hospitals are likely to have
low numbers of central line days, catheter days, and surgeries. Calculating rates with small
numbers in the denominator can be misleading. Therefore the N.C. Healthcare‐Associated
Infections Prevention Program chose to present only the actual number of infections for units,
hospitals, and/or surgeries that did not meet a minimum threshold value for the reporting
period; rates are not presented. The minimum threshold numbers for the reporting period are
based on CDC recommendations for reporting healthcare‐associated infection data.
 Central‐line associated bloodstream infections: 50 central line days
 Catheter‐associated urinary tract infections: 50 catheter days
 Surgical site infections: 20 surgeries
Section Overview
Tables and figures from hospital‐specific summary reports have been included in the following
sections to provide a pictorial representation of data. These tables and figures do not represent one
single hospital and are used as examples to highlight key points.
Section 1 – General Hospital Information
This section contains general information about the hospital and includes a map of where the
hospital (blue “H” icon) is located in N.C. Data in this section are from the National Healthcare
Safety Network (NHSN) 2011 Annual Hospital Survey. The surveys are completed once a year; the
2012 Annual Hospital Survey will be completed by hospitals in 2013.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013
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Section 2 – Central line‐associated bloodstream infections (CLABSI)
This section of the report includes a table, figure, and general information about central line‐associated
bloodstream infections. Please note that central line‐associated bloodstream infections
are only reported from adult, pediatric, and neonatal intensive care units in acute care hospitals.
Table 1 includes the number of central line‐associated bloodstream infections (“Infections”),
number of central line days (“Line Days”), and rate (“Rate”). A central line day is a daily count of the
number of patients with a central line. For example, if there are 12 patients who have a central line
on Day 1, then there were 12 central line days on Day 1. The central line days are summed over the
period of interest to calculate the total number of central line days in the hospital or unit. In the
example shown here, there were a total of 4,669 central line days from January to June 2012 in this
hospital.
The rate is the number of central line‐associated bloodstream infections divided by the number of
central line days multiplied by 1,000 to get “per 1,000 central line days.” In this example, the rate is
0.43 central line‐associated bloodstream infections per 1,000 central line days.
Figure 1 shows the hospital central line‐associated bloodstream infections rate along with the
central line‐associated bloodstream infections rates of similarly‐sized hospitals and all hospitals in
N.C. The categories for “Similarly‐sized Hospitals” are based on total hospital bed counts: less than
100 beds, 100‐199 beds, 200‐399 beds, and 400+ beds. Hospitals that serve as the primary location
for medical schools are included in a separate category (primary medical school affiliation). A list of
the hospitals in each category can be found in Appendix B.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013
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In addition to the rates, the 95% confidence intervals (CI) are also presented as the “Lower Limit”
and “Upper Limit” in the figure. The 95% confidence interval is a useful measure because it can be
used to assess if the difference between two rates is important statistically, or statistically
significant. If the 95% confidence intervals of two rates overlap, then the conclusion would be that
the difference in rates is not statistically significant. However, if the 95% confidence intervals of
two rates do not overlap, then the rates are said to be statistically significant.
In this example (Figure 1), the hospital rate is 0.43 central line‐associated bloodstream infections
per 1,000 central line days (95% CI: 0.05‐1.55). The rate among similarly‐sized hospitals is 1.08
central line‐associated bloodstream infections per 1,000 central line days (95% CI: 0.82‐1.33) and
the rate for all NC hospitals is 1.06 central line‐associated bloodstream infections per 1,000 central
line days (95% CI: 0.89‐1.22). The central line‐associated bloodstream infections rate in the
hospital appears to be lower than that of similarly‐sized hospitals and all hospitals in N.C.
The question is if this difference in central line‐associated bloodstream infections rates is a true
difference. Looking at the 95% confidence interval of the hospital rate, it overlaps with the 95%
confidence interval of the rate for similarly‐sized hospitals and the rate for all NC hospitals.
Therefore, the conclusion would be that the observed difference in central line‐associated
bloodstream infections rate in the hospital is not significantly different from the central line‐associated
bloodstream infections rates of similarly‐sized hospitals or all hospitals in NC.
The section on central line‐associated bloodstream infections concludes with general information
about what a central line‐associated bloodstream infection is and what patients can do to reduce
their risk of infection.
Section 3 – Catheter‐associated urinary tract infections (CAUTI)
Like the section on central line‐associated blood stream infections, this section includes a table,
figure, and general information about catheter‐associated urinary tract infections. Catheter‐associated
urinary tract infections are only reported from adult and pediatric intensive care units in
acute care hospitals.
The calculations of catheter days and rates as well as interpretation of the 95% confidence intervals
are the same as those presented in “Section 2 – Central line‐associated bloodstream infections
(CLABSI)”; please refer to that section for more information.
In the example above (Table 2), the hospital rate of catheter‐associated urinary tract infections was
0 per 1,000 catheter‐days. The accompanying Figure 2 below displays that the 95% confidence
interval is not presented when the rate is 0.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013
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Section 4 – Surgical site infections (SSI)
This section includes a table and two figures about surgical site infections. Hospitals are required to
report surgical site infections that occur among adults 18 years or older following inpatient
abdominal hysterectomies and colon surgeries. Only surgical site infections that occur at the
primary incision site within 30 days of surgery are included in this report. Infections are not
included if they occur later or if they involve only the skin or subcutaneous tissue (the layer of
tissue directly under the skin). Finally, if patient age or the American Society of Anesthesiologists
(ASA) score is missing for a surgery, it is not included in the final count of surgeries.
The calculation of rates as well as interpretation of the 95% confidence intervals are the same as
those presented in “Section 2 – Central line‐associated bloodstream infections (CLABSI)”; please
refer to that section for more information.
Recall that if the number of procedures (or central‐line days for central‐line bloodstream infections
or catheter days for catheter‐associated urinary tract infections) at a hospital did not meet a
minimum threshold number, the number of infections and surgeries would be presented but not
the rate. For surgical site infections, the minimum threshold is 20 surgeries for a reporting period.
In the example above (Table 3), there were less than 20 abdominal hysterectomies performed.
Therefore, the surgical site infections rate for abdominal hysterectomy was not included in the
table.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013
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In the accompanying Figure 3, the hospital rate and 95% confidence interval were not presented.
Section 5 – Commentary from Hospital
This section is an opportunity for hospitals to comment on healthcare‐associated infections and
infection control activities in their hospital. There is a 690 character limit (including spaces)
therefore hospitals may have chosen to provide a link to their hospital website to provide lengthier
comments.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013
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III. Hospital‐Specific Summary Reports
Hospital Type: Acute Care Hospital
Medical Affiliation: Limited
Profit Status: Not for Profit
Admissions in 2011: 4,691
Patient Days in 2011: 19,027
Number of Beds: 110
Number of ICU Beds: 10
Infection Preventionists: 1
Total for Reporting ICUs 1 405 2.47
Infections Line Days Rate
Total for Reporting ICUs 0 687 0
Infections Catheter Days Rate
ARHS-Watauga Medical Center, Boone, Watauga County
Abdominal hysterectomy 0 5 .
Colon surgery 0 15 .
Type of Surgery Infections* Surgeries Rate
No comments provided.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
8
Hospital Type: Acute Care Hospital
Medical Affiliation: No
Profit Status: Not for Profit
Admissions in 2011: 2
Patient Days in 2011: 46,125
Number of Beds: 238
Number of ICU Beds: 32
Infection Preventionists: 1
Total for Reporting ICUs 2 1,268 1.58
Infections Line Days Rate
Total for Reporting ICUs 6 1,512 3.97
Infections Catheter Days Rate
Alamance Regional Medical Center, Burlington, Alamance County
Abdominal hysterectomy 0 98 0
Colon surgery 0 60 0
Type of Surgery Infections* Surgeries Rate
No comments provided.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
9
Hospital Type: Acute Care Hospital
Medical Affiliation: No
Profit Status: Not for Profit
Admissions in 2011: 5,780
Patient Days in 2011: 22,562
Number of Beds: 134
Number of ICU Beds: 9
Infection Preventionists: 1
Total for Reporting ICUs 0 384 0
Infections Line Days Rate
Total for Reporting ICUs 1 659 1.52
Infections Catheter Days Rate
Albemarle Health Authority, Elizabeth City, Pasquotank County
Abdominal hysterectomy 1 36 2.78
Colon surgery 1 40 2.5
Type of Surgery Infections* Surgeries Rate
No comments provided.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
10
Hospital Type: Acute Care Hospital
Medical Affiliation: No
Profit Status: Not for Profit
Admissions in 2011: 3,063
Patient Days in 2011: 13,704
Number of Beds: 78
Number of ICU Beds: 12
Infection Preventionists: 1
Total for Reporting ICUs 0 197 0
Infections Line Days Rate
Total for Reporting ICUs 1 579 1.73
Infections Catheter Days Rate
Annie Penn Hospital, Reidsville, Rockingham County
Abdominal hysterectomy 0 7 .
Colon surgery 1 16 .
Type of Surgery Infections* Surgeries Rate
No comments provided.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
11
Hospital Type: Acute Care Hospital
Medical Affiliation: No
Profit Status: Not for Profit
Admissions in 2011: 721
Patient Days in 2011: 2,186
Number of Beds: 30
Number of ICU Beds: 0
Infection Preventionists: 1
Anson Community Hospital, Wadesboro, Anson County
Abdominal hysterectomy 0 0 .
Colon surgery 0 1 .
Type of Surgery Infections* Surgeries Rate
No comments provided.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
This hospital does not have any reporting intensive care units (ICUs).
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
This hospital does not have any reporting intensive care units (ICUs).
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
12
Hospital Type: Acute Care Hospital
Medical Affiliation: No
Profit Status: Not for Profit
Admissions in 2011: 7,306
Patient Days in 2011: 27,411
Number of Beds: 101
Number of ICU Beds: 6
Infection Preventionists: 1
Total for Reporting ICUs 0 321 0
Infections Line Days Rate
Total for Reporting ICUs 0 666 0
Infections Catheter Days Rate
Betsy Johnson Regional, Dunn, Harnett County
Abdominal hysterectomy 0 29 0
Colon surgery 0 13 .
Type of Surgery Infections* Surgeries Rate
No comments provided.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
13
Hospital Type: Acute Care Hospital
Medical Affiliation: Graduate
Profit Status: Not for Profit
Admissions in 2011: 2,057
Patient Days in 2011: 8,501
Number of Beds: 131
Number of ICU Beds: 10
Infection Preventionists: 1
Total for Reporting ICUs 0 127 0
Infections Line Days Rate
Total for Reporting ICUs 0 409 0
Infections Catheter Days Rate
Blue Ridge Healthcare Hospitals - Valdese Campus, Valdese, Burke County
Abdominal hysterectomy 0 0 .
Colon surgery 0 33 0
Type of Surgery Infections* Surgeries Rate
The prevention and reduction of healthcare associated infections is a top priority at Blue Ridge Healthcare Hospitals Valdese. To accomplish this, infection prevention strategies
are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A
comprehensive program is provided that encompasses patient care and patient safety.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
14
Hospital Type: Acute Care Hospital
Medical Affiliation: Graduate
Profit Status: Not for Profit
Admissions in 2011: 5,931
Patient Days in 2011: 23,517
Number of Beds: 184
Number of ICU Beds: 10
Infection Preventionists: 1
Total for Reporting ICUs 0 197 0
Infections Line Days Rate
Total for Reporting ICUs 0 676 0
Infections Catheter Days Rate
Blue Ridge Healthcare Hospitals, Inc. - Morganton Campus, Morganton, Burke County
Abdominal hysterectomy 0 10 .
Colon surgery 0 20 0
Type of Surgery Infections* Surgeries Rate
The prevention and reduction of healthcare associated infections is a top priority at Blue Ridge Healthcare Hospitals Morganton. To accomplish this, infection prevention
strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A
comprehensive program is provided that encompasses patient care and patient safety.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
15
Hospital Type: Acute Care Hospital
Medical Affiliation: No
Profit Status: Not for Profit
Admissions in 2011: 2,183
Patient Days in 2011: 6,661
Number of Beds: 46
Number of ICU Beds: 8
Infection Preventionists: 1
Total for Reporting ICUs 0 61 0
Infections Line Days Rate
Total for Reporting ICUs 1 201 4.98
Infections Catheter Days Rate
Blue Ridge Regional Hospital, Spruce Pine, Mitchell County
Abdominal hysterectomy 0 2 .
Colon surgery 0 3 .
Type of Surgery Infections* Surgeries Rate
No comments provided.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
16
Hospital Type: Acute Care Hospital
Medical Affiliation: No
Profit Status: Not for Profit
Admissions in 2011: 3,640
Patient Days in 2011: 11,920
Number of Beds: 60
Number of ICU Beds: 5
Infection Preventionists: 1
Total for Reporting ICUs 0 167 0
Infections Line Days Rate
Total for Reporting ICUs 0 419 0
Infections Catheter Days Rate
Brunswick Community Hospital, Supply, Brunswick County
Abdominal hysterectomy 0 11 .
Colon surgery 2 33 6.06
Type of Surgery Infections* Surgeries Rate
No comments provided.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
17
Hospital Type: Acute Care Hospital
Medical Affiliation: No
Profit Status: Not for Profit
Admissions in 2011: 4,060
Patient Days in 2011: 18,281
Number of Beds: 110
Number of ICU Beds: 10
Infection Preventionists: 1
Total for Reporting ICUs 0 830 0
Infections Line Days Rate
Total for Reporting ICUs 1 1,107 0.9
Infections Catheter Days Rate
Caldwell Memorial Hospital, Lenoir, Caldwell County
Abdominal hysterectomy 0 1 .
Colon surgery 0 10 .
Type of Surgery Infections* Surgeries Rate
No comments provided.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
18
Hospital Type: Acute Care Hospital
Medical Affiliation: No
Profit Status: Not for Profit
Admissions in 2011: 29,287
Patient Days in 2011: 155,939
Number of Beds: 535
Number of ICU Beds: 90
Infection Preventionists: 4
Total for Reporting ICUs 4 4,613 0.87
Infections Line Days Rate
Total for Reporting ICUs 8 5,069 1.58
Infections Catheter Days Rate
Cape Fear Valley Health System, Fayetteville, Cumberland County
Abdominal hysterectomy 1 123 0.81
Colon surgery 1 140 0.71
Type of Surgery Infections* Surgeries Rate
No comments provided.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
19
Hospital Type: Acute Care Hospital
Medical Affiliation: No
Profit Status: Not for Profit
Admissions in 2011: 15,504
Patient Days in 2011: 66,443
Number of Beds: 350
Number of ICU Beds: 33
Infection Preventionists: 3
Total for Reporting ICUs 1 1,364 0.73
Infections Line Days Rate
Total for Reporting ICUs 9 1,947 4.62
Infections Catheter Days Rate
CarolinaEast Medical Center, New Bern, Craven County
Abdominal hysterectomy 1 59 1.69
Colon surgery 1 58 1.72
Type of Surgery Infections* Surgeries Rate
The overall healthcare associated infection rates for CarolinaEast are very low. The data for catheter associated urinary tract infections for this time period is not reflective
of the overall Infection Prevention practices for our organization.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
20
Hospital Type: Acute Care Hospital
Medical Affiliation: Major
Profit Status: Not for Profit
Admissions in 2011: 52,282
Patient Days in 2011: 271,498
Number of Beds: 880
Number of ICU Beds: 290
Infection Preventionists: 5
Total for Reporting ICUs 17 14,286 1.19
Infections Line Days Rate
Total for Reporting ICUs 52 13,613 3.82
Infections Catheter Days Rate
Carolinas Medical Center, Charlotte, Mecklenburg County
Abdominal hysterectomy 1 378 0.26
Colon surgery 5 240 2.08
Type of Surgery Infections* Surgeries Rate
The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies
are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A
comprehensive program is provided that encompasses patient care and patient safety.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
21
Hospital Type: Acute Care Hospital
Medical Affiliation: No
Profit Status: Not for Profit
Admissions in 2011: 4,105
Patient Days in 2011: 17,248
Number of Beds: 101
Number of ICU Beds: 10
Infection Preventionists: 1
Total for Reporting ICUs 1 299 3.34
Infections Line Days Rate
Total for Reporting ICUs 0 778 0
Infections Catheter Days Rate
Carolinas Medical Center - Lincoln, Lincolnton, Lincoln County
Abdominal hysterectomy 0 23 0
Colon surgery 1 6 .
Type of Surgery Infections* Surgeries Rate
The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies
are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A
comprehensive program is provided that encompasses patient care and patient safety.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
22
Hospital Type: Acute Care Hospital
Medical Affiliation: Limited
Profit Status: Not for Profit
Admissions in 2011: 9,264
Patient Days in 2011: 40,462
Number of Beds: 170
Number of ICU Beds: 30
Infection Preventionists: 1
Total for Reporting ICUs 3 1,411 2.13
Infections Line Days Rate
Total for Reporting ICUs 3 1,881 1.59
Infections Catheter Days Rate
Carolinas Medical Center- Mercy, Charlotte, Mecklenburg County
Abdominal hysterectomy 0 31 0
Colon surgery 2 57 3.51
Type of Surgery Infections* Surgeries Rate
The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies
are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A
comprehensive program is provided that encompasses patient care and patient safety.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
23
Hospital Type: Acute Care Hospital
Medical Affiliation: No
Profit Status: Not for Profit
Admissions in 2011: 24,746
Patient Days in 2011: 106,692
Number of Beds: 435
Number of ICU Beds: 54
Infection Preventionists: 3
Total for Reporting ICUs 2 2,437 0.82
Infections Line Days Rate
Total for Reporting ICUs 6 2,894 2.07
Infections Catheter Days Rate
Carolinas Medical Center - Northeast, Concord, Cabarrus County
Abdominal hysterectomy 1 176 0.57
Colon surgery 0 116 0
Type of Surgery Infections* Surgeries Rate
The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies
are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A
comprehensive program is provided that encompasses patient care and patient safety.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
24
Hospital Type: Acute Care Hospital
Medical Affiliation: Limited
Profit Status: Not for Profit
Admissions in 2011: 10,863
Patient Days in 2011: 39,353
Number of Beds: 109
Number of ICU Beds: 8
Infection Preventionists: 1
Total for Reporting ICUs 1 811 1.23
Infections Line Days Rate
Total for Reporting ICUs 2 1,214 1.65
Infections Catheter Days Rate
Carolinas Medical Center- Pineville, Charlotte, Mecklenburg County
Abdominal hysterectomy 0 139 0
Colon surgery 3 58 5.17
Type of Surgery Infections* Surgeries Rate
The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies
are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A
comprehensive program is provided that encompasses patient care and patient safety.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
25
Hospital Type: Acute Care Hospital
Medical Affiliation: Limited
Profit Status: Not for Profit
Admissions in 2011: 9,602
Patient Days in 2011: 40,252
Number of Beds: 165
Number of ICU Beds: 14
Infection Preventionists: 2
Total for Reporting ICUs 1 673 1.49
Infections Line Days Rate
Total for Reporting ICUs 0 1,165 0
Infections Catheter Days Rate
Carolinas Medical Center - Union, Monroe, Union County
Abdominal hysterectomy 1 39 2.56
Colon surgery 0 29 0
Type of Surgery Infections* Surgeries Rate
The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies
are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A
comprehensive program is provided that encompasses patient care and patient safety.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
26
Hospital Type: Acute Care Hospital
Medical Affiliation: Limited
Profit Status: Not for Profit
Admissions in 2011: 7,399
Patient Days in 2011: 23,883
Number of Beds: 130
Number of ICU Beds: 8
Infection Preventionists: 1
Total for Reporting ICUs 0 580 0
Infections Line Days Rate
Total for Reporting ICUs 4 756 5.29
Infections Catheter Days Rate
Carolinas Medical Center- University, Charlotte, Mecklenburg County
Abdominal hysterectomy 1 47 2.13
Colon surgery 0 33 0
Type of Surgery Infections* Surgeries Rate
The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies
are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A
comprehensive program is provided that encompasses patient care and patient safety.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
27
Hospital Type: Acute Care Hospital
Medical Affiliation: No
Profit Status: Not for Profit
Admissions in 2011: 6,980
Patient Days in 2011: 24,561
Number of Beds: 135
Number of ICU Beds: 8
Infection Preventionists: 2
Total for Reporting ICUs 1 225 4.44
Infections Line Days Rate
Total for Reporting ICUs 1 601 1.66
Infections Catheter Days Rate
Carteret General Hospital, Morehead City, Carteret County
Abdominal hysterectomy 0 18 .
Colon surgery 1 36 2.78
Type of Surgery Infections* Surgeries Rate
No comments provided.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
28
Hospital Type: Acute Care Hospital
Medical Affiliation: No
Profit Status: Not for Profit
Admissions in 2011: 11,668
Patient Days in 2011: 48,263
Number of Beds: 200
Number of ICU Beds: 28
Infection Preventionists: 2
Total for Reporting ICUs 2 1,234 1.62
Infections Line Days Rate
Total for Reporting ICUs 2 1,412 1.42
Infections Catheter Days Rate
Catawba Valley Medical Center, Hickory, Catawba County
Abdominal hysterectomy 0 42 0
Colon surgery 2 53 3.77
Type of Surgery Infections* Surgeries Rate
No comments provided.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
29
Hospital Type: Acute Care Hospital
Medical Affiliation: No
Profit Status: For Profit
Admissions in 2011: 465
Patient Days in 2011: 1,654
Number of Beds: 112
Number of ICU Beds: 8
Infection Preventionists: 1
Total for Reporting ICUs 0 484 0
Infections Line Days Rate
Total for Reporting ICUs 0 557 0
Infections Catheter Days Rate
Central Carolina Hospital, Sanford, Lee County
Abdominal hysterectomy 0 24 0
Colon surgery 0 33 0
Type of Surgery Infections* Surgeries Rate
No comments provided.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
30
Hospital Type: Acute Care Hospital
Medical Affiliation: No
Profit Status: Not for Profit
Admissions in 2011: 9,772
Patient Days in 2011: 35,345
Number of Beds: 241
Number of ICU Beds: 18
Infection Preventionists: 1
Total for Reporting ICUs 0 1,064 0
Infections Line Days Rate
Total for Reporting ICUs 2 1,863 1.07
Infections Catheter Days Rate
Cleveland Regional Medical Center, Shelby, Cleveland County
Abdominal hysterectomy 1 37 2.7
Colon surgery 0 40 0
Type of Surgery Infections* Surgeries Rate
The prevention and reduction of healthcare associated infections is a top priority at Cleveland County Healthcare System hospitals. To accomplish this, infection prevention
strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A
comprehensive program is provided that encompasses patient care and patient safety.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012.
Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days.
A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder,
ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been
inserted into the bladder to drain urine.
What you can do:
• Understand why the catheter is needed and ask your healthcare provider frequently if the
catheter is still needed.
• Always clean your hands before and after touching the catheter and make sure your
healthcare providers do the same.
• Make sure the bag used to collect urine is always below the level of the bladder and the
tubing is not twisted or kinked.
Surgical Site Infections (SSI)
Figure 3. Rates and 95% Confidence Intervals for Abdominal
Hysterectomies, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Figure 4. Rates and 95% Confidence Intervals for Colon
Surgeries, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 3. Number of Infections and Rate of SSI, Jan-June 2012.
*Infections from deep incisional and/or organ space.
Note: Rate per 100 inpatient surgeries. Rate was not calculated
if less than 20 inpatient surgeries.
A surgical site infection (SSI) is an infection that
occurs after surgery in the part of the body where
the surgery took place.
What you can do:
• Ask your healthcare providers what steps they are
taking to prevent an infection.
• Tell your doctor about other medical problems you
have such as allergies, diabetes, and obesity.
• Make sure your healthcare providers clean their hands
before taking care of you or touching the area
of your surgery.
Commentary from Hospitals:
Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html).
Data as of December 27, 2012.
NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013
31
Hospital Type: Acute Care Hospital
Medical Affiliation: No
Profit Status: Not for Profit
Admissions in 2011: 5,759
Patient Days in 2011: 23,894
Number of Beds: 107
Number of ICU Beds: 10
Infection Preventionists: 1
Total for Reporting ICUs 0 225 0
Infections Line Days Rate
Total for Reporting ICUs 0 470 0
Infections Catheter Days Rate
Columbus Regional Healthcare System, Whiteville, Columbus County
Abdominal hysterectomy 1 38 2.63
Colon surgery 0 28 0
Type of Surgery Infections* Surgeries Rate
The prevention and reduction of healthcare associated infections is a top priority at Columbus Regional Healthcare System. To accomplish this, infection prevention strategies are
continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive
program is provided that encompasses patient care and patient safety.
North Carolina Healthcare-Associated Infections Report
Data from January 1 – June 30, 2012
2011 Hospital Survey Information
Central Line-Associated Bloodstream Infections (CLABSI)
Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012
Hospital Simlarly-sized NC
Hospitals
Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012.
Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days.
A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when
germs enter the bloodstream through a central venous catheter (tube) that doctors place in a
large vein in the neck, chest, or groin to give medication or fluids or to collect blood for
medical tests.
What you can do:
• Ask your healthcare providers what steps they are taking to prevent a bloodstream infection.
• Make sure your healthcare providers clean their hands with soap and water or an alcohol-based
hand rub before taking care of you or touching your central line.
• If you have a central line, ask your healthcare providers how to care for it and how to spot
early signs of infection.
Catheter-Associated Urinary Tract Infections (CAUTI)
Figure 2. Rates and 9